| 肖海敏,周鲜艳,张晓娟,李 娜,李兴珍.乳腺癌术后患者病耻感影响因素分析及与自尊、生活质量和心理社会适应能力的关系[J].,2021,(23):4522-4526 |
| 乳腺癌术后患者病耻感影响因素分析及与自尊、生活质量和心理社会适应能力的关系 |
| Influencing Factors of Stigma in Breast Cancer Patients after Operation and Its Relationship with Self-esteem, Quality of Life and Psychosocial Adaptability |
| 投稿时间：2021-04-07 修订日期：2021-04-30 |
| DOI：10.13241/j.cnki.pmb.2021.23.026 |
| 中文关键词: 乳腺癌 改良根治术 病耻感 自尊 生活质量 心理社会适应能力 |
| 英文关键词: Breast cancer Modified radical mastectomy Stigma Self esteem Quality of life Psychosocial adaptability |
| 基金项目:陕西省科技厅社会发展领域重点研发项目（2016KTCL03-05） |
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| 中文摘要: |
| 摘要 目的：分析乳腺癌术后患者病耻感的影响因素，并探讨病耻感与自尊、生活质量和心理社会适应能力的关系。方法：选取2017年2月~2020年4月期间我院收治的经乳腺癌改良根治术患者83例，均为女性。采用自行设计的一般资料调查问卷收集患者的临床资料，采用社会影响量表（SIS）对患者的病耻感进行调查。采用乳腺癌心理社会适应问卷、欧洲生命质量核心问卷（EORTC QLQ-C30）、自尊量表（SES）评价患者的心理社会适应能力、生活质量和自尊。采用Pearson相关分析法分析SIS评分与SES、EORTC QLQ-C30和乳腺癌心理社会适应问卷评分的关系。采用单因素及多因素Logistic回归分析乳腺癌术后患者病耻感的影响因素。结果：本研究总计发放83份调查问卷，回收到3份无效问卷，80份有效问卷，有效回收率96.39%（80/83）。乳腺癌术后患者社会排斥、经济歧视、内在羞愧、社会隔离评分和总评分均高于国内常模（P<0.05）。乳腺癌术后患者SES、EORTC QLQ-C30和心理社会适应能力评分低于国内常模（P<0.05）。乳腺癌术后患者SIS总评分与SES、EORTC QLQ-C30和乳腺癌心理社会适应问卷评分呈负相关（P<0.05）。不同婚姻状况、文化程度、家庭人均月收入、年龄、职业、居住地患者的SIS评分差异有统计学意义（P<0.05）。多因素Logistic回归分析显示，年龄≤39岁、职业情况为兼职或其他、婚姻状况为未婚/离异/丧偶、家庭人均月收入＜3000元、文化程度大专及以下、居住地为农村均是乳腺癌术后患者病耻感的影响因素（P＜0.05）。结论：乳腺癌术后患者存在明显的术后病耻感，年龄、职业、婚姻状况、家庭人均月收入、文化程度以及居住地均会对乳腺癌术后患者病耻感产生影响，且病耻感与患者自尊、生活质量和心理社会适应能力息息相关。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the influencing factors of stigma in patients with breast cancer after operation, and to explore the relationship between stigma and self-esteem, quality of life and psychosocial adaptability. Methods: 83 patients with modified radical mastectomy who were admitted in our hospital from February 2017 to April 2020 were selected, all women. The clinical data were collected by self-designed general information questionnaire, the social impact scale (SIS) was used to investigate the stigma of patients. The psychosocial adaptability, quality of life and self-esteem of patients with breast cancer were evaluated by psychosocial adaptation questionnaire for breast cancer, European core quality of life questionnaire (EORTC QLQ-C30), self esteem scale (SES) which were designed by Cheng ran and Wang Aiping. Pearson correlation analysis was used to analyze the relationship between SIS score and SES, EORTC QLQ-C30 and psychosocial adaptation questionnaire score of breast cancer. Univariate and multivariate logistic regression were used to analyze the influencing factors of stigma in breast cancer patients. Results: A total of 83 questionnaires were distributed in this study, 3 invalid questionnaires and 80 valid questionnaires were recovered. The effective recovery rate was 96.39% (80/83). The scores of social exclusion, economic discrimination, internal shame, social isolation and total score were higher than the domestic norm (P<0.05). The scores of SES, EORTC QLQ-C30 and psychosocial adaptability of postoperative breast cancer patients were lower than the domestic norm (P < 0.05). There was a negative correlation between SIS score and SES, EORTC QLQ-C30 and psychosocial adaptation questionnaire in breast cancer patients (P<0.05). There were significant differences in SIS scores among breast cancer patients with different marital status, education level, family average monthly income, age, occupation status, residence (P<0.05). Multivariate logistic regression analysis showed that, Age≤39 years old, part-time or other occupation, marital status of unmarried / divorced / widowed, family per capita monthly income <3000 yuan, education level of junior college or below, residence in rural areas were the influencing factors of stigma (P<0.05). Conclusion: Patients with breast cancer have obvious postoperative stigma, age, occupational status, marital status, family per capita monthly income, education level and residence all have an impact on the shame of patients with breast cancer after operation, and stigma is closely related to self-esteem, quality of life and psychosocial adaptability of patients. |
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